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  • First Name REQUIRED Please fill out this field. Please enter valid data.

    Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  • Event 1
    • Name and Date of Event Please enter valid data.
    • Event Fee for Total Number of People Registering $ Please enter a positive decimal.
  • Event 2
    • Name and Date of Event Please enter valid data.
    • Event Fee for Total Number of People Registering $ Please enter a positive decimal.
  • Event 3
    • Name and Date of Event Please enter valid data.
    • Event Fee for Total Number of People Registering $ Please enter a positive decimal.
  • Event 4
    • Name and Date of Event Please enter valid data.
    • Event Fee for Total Number of People Registering $ Please enter a positive decimal.
  • Event 5
    • Name and Date of Event Please enter valid data.
    • Event Fee for Total Number of People Registering $ Please enter a positive decimal.
  • If registering people in addition to yourself, please list their names here:

  Total: $

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